Director of Revenue Cycle

Company Overview
Cumberland Healthcare is an independent community based healthcare facility, inclusive of a Critical Access Hospital and Rural Health Clinic, serving northwest Wisconsin. With a comprehensive range of services including a clinic, a 25-bed critical access hospital, extensive rehabilitation and emergency services, Cumberland Healthcare has been dedicated to providing quality healthcare for over 50 years. The organization emphasizes compassionate, accessible, and integrated care for its diverse patient population.

Revenue Cycle Director

The Revenue Cycle Director works to improve the revenue cycle and process by maximizing revenue and reimbursement through the effective management and utilization of revenue processes and information flow through operations and billing systems.

This position oversees the following departments: Patient Financial Services/Business Office and Health Information

Key Responsibilities

• Analyzing and implementing initiatives to increase revenue, working with areas of the facility to coordinate revenue procedures, credentialing payers with insurance and health plans to ensure proper set-up for reimbursement.
• Driving process improvement initiatives related to revenue cycle functions in collaboration with department leaders and managers.
• Responsible for the entire pipeline of charge capture activities from registration, coding, and billing for ensuring accurate reimbursement for services billed.
• This position serves as a key resource for setting up new service lines and corresponding charges and for facilitating the credentialing process for physicians and contracts with third party payers.
• Responsible for maintaining and overseeing the facility chargemaster.

Qualifications

• Bachelor’s degree in business, accounting or other related field;
• 5 years’ healthcare revenue cycle experience with billing; reimbursement; and collections for inpatient, outpatient and clinic environments (Critical Access Hospital and Rural Health Clinic experience preferred)
• Knowledge and familiarity of cost reporting preferred
• Insurance contract negotiation experience preferred
• Medicare/Medicaid payor knowledge preferred
• Possess management skills including ability to plan, organize, and direct staff using good communication and effective management techniques
• Meditech experience preferred
• Advanced knowledge of billing claim forms, UB-04, 1500, and EOB Interpretation
• Possesses strategic interconnectivity of all elements of the Revenue Cycle and how to maximize efficiency and effectiveness, from billing and NPIs to Payors to Cost Reports, etc. for Critical Access Hospital and Rural Health Clinic

Pay: $109,137.00 - $168,376.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Work Location: In person

Salary : $109,137 - $168,376